History: H/O THREE ANTERIOR SHOULDER DISLOCATIONS SINCE AGE 21, ALL PLAYING RUGBY.

Findings: A-P RADIOGRAPHS: SUBCHONDRAL SCLEROSIS IN THE REGION OF THE GLENOID TUBERCLE WITH DEPRESSION OF POSTERO-LATERAL HUMERAL HEAD ON EXTERNAL ROTATION. REMAINDER OF BONES NORMAL; NO BANKART LESION APPRECIATED.
TWO FSE PROTON DENSITY W/ FAT SAT. AXIAL MR IMAGES OF RIGHT SHOULDER SHOW:
1. MORE SUPERIOR IMAGE, AT LEVEL OF SUPERIOR GLENOID, FLATTENING OF POSTERIOR-LATERAL ASPECT CONSISTENT WITH HILL-SACHS DEFORMITY. HIGH SIGNAL INTENSITY AROUND HUMERAL HEAD REPRESENTS CARTILAGINOUS/OSSEOUS TISSUE WITH EDEMA/CONTUSION.
2. HIGH SIGNAL INTENSITY IN REGION OF POSTEROLATERAL MARGIN OF HUMERAL HEAD IS MORE EVIDENT, AND IN THE CARTILAGINOUS AND SUBJACENT HUMERUS IS CONSISTENT WITH EDEMA/CONTUSION, CONSISTENT WITH HILL-SACHS DEFORMITY.
FSE PROTON DENSITY W/ FAT SAT. CORONAL OBLIQUE MR IMAGE OF RIGHT SHOULDER SHOWS HIGH SIGNAL INTENSITY SEPARATING ANTERIOR LABRUM FROM BONY LABRUM CONSISTENT WITH BANKART LESION.

Ddx: FINDINGS DIAGNOSTIC OF HILL-SACHS DEFORMITY AND BANKART LESION, CORRELATIVE WITH THE PATIENT HISTORY OF RECURRENT ANTERIOR DISLOCATIONS.

MPX2043_synpic17059: A-P Radiographs: Subchondral sclerosis in the region of the glenoid tubercle with depression of posterolateral humeral head on external rotation. Remainder of bones normal; no Bankart lesion appreciated.

MPX2043_synpic17059: A-P Radiographs: Subchondral sclerosis in the region of the glenoid tubercle with depression of posterolateral humeral head on external rotation. Remainder of bones normal; no Bankart lesion appreciated.

History: H/O THREE ANTERIOR SHOULDER DISLOCATIONS SINCE AGE 21, ALL PLAYING RUGBY.

Findings: A-P RADIOGRAPHS: SUBCHONDRAL SCLEROSIS IN THE REGION OF THE GLENOID TUBERCLE WITH DEPRESSION OF POSTERO-LATERAL HUMERAL HEAD ON EXTERNAL ROTATION. REMAINDER OF BONES NORMAL; NO BANKART LESION APPRECIATED.
TWO FSE PROTON DENSITY W/ FAT SAT. AXIAL MR IMAGES OF RIGHT SHOULDER SHOW:
1. MORE SUPERIOR IMAGE, AT LEVEL OF SUPERIOR GLENOID, FLATTENING OF POSTERIOR-LATERAL ASPECT CONSISTENT WITH HILL-SACHS DEFORMITY. HIGH SIGNAL INTENSITY AROUND HUMERAL HEAD REPRESENTS CARTILAGINOUS/OSSEOUS TISSUE WITH EDEMA/CONTUSION.
2. HIGH SIGNAL INTENSITY IN REGION OF POSTEROLATERAL MARGIN OF HUMERAL HEAD IS MORE EVIDENT, AND IN THE CARTILAGINOUS AND SUBJACENT HUMERUS IS CONSISTENT WITH EDEMA/CONTUSION, CONSISTENT WITH HILL-SACHS DEFORMITY.
FSE PROTON DENSITY W/ FAT SAT. CORONAL OBLIQUE MR IMAGE OF RIGHT SHOULDER SHOWS HIGH SIGNAL INTENSITY SEPARATING ANTERIOR LABRUM FROM BONY LABRUM CONSISTENT WITH BANKART LESION.

Ddx: FINDINGS DIAGNOSTIC OF HILL-SACHS DEFORMITY AND BANKART LESION, CORRELATIVE WITH THE PATIENT HISTORY OF RECURRENT ANTERIOR DISLOCATIONS.